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  • Title: Combined transrectal sonographic and fluoroscopic guidance for deep pelvic abscess drainage.
    Author: Kastan DJ, Nelsen KM, Shetty PC, Burke MW, Sharma RP.
    Journal: J Ultrasound Med; 1996 Mar; 15(3):235-9. PubMed ID: 8919505.
    Abstract:
    We attempted to determine the feasibility, safety, and success of transrectal catheter drainage of deep pelvic abscesses using a combination of transrectal sonography and fluoroscopic guidance. In this retrospective review of five cases, transrectal catheters were placed within abscess cavities over a 20 month period. Clinical improvement was prompt, catheters were removed within 7 days, and no complications were detected. No patient required further intervention (follow-up 2 to 20 months). Transrectal sonographically guided catheter drainage proved to be safe and effective in our series. This method is a promising alternative to the posterior (sciatic notch) approach when the anterior transabdominal approach is contraindicated.
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